New Jersey Writers Project Application Form

Only one residency per application form. Applications must be completed in full or they will not be processed.

 

Date of Application
School/Site Name 
Principal/Executive Director Name 
Street Address
City 
State
Zip Code
County
School Phone
School Website: (if applicable)  
School District
State Legislative District  
School Federal ID #
Applicant  Name
Applicant Title 
Applicant Phone
Applicant E-Mail: 
Site Coordinator Name
Site Coordinator Title  
Site Coordinator Phone
Site Coordinator E-Mail: 

Residency Request  
(Please choose only one program from the available choices.  Please do not enter multiple program choices.  For example, if you choose a Basic Residency, you should not choose an Extended Residency, or a Project Residency, or a Thematic Residency, or a Special Initiative, or an Enrichment Program.  If you choose an Extended Residency, then you would not choose anything from the Basic Residency, or any other Residency or Initiative field.)

Basic Residency (4-day)

IMPORTANT:  Once you've chosen a Basic Residency in the field above skip directly to the "Preferred time frame field".
Do not choose any other of the Residency or Initiative fields.  

Extended Residency (8-day)
Project Residency (12-day)
Thematic Residency Call the Education Department  at  (973) 514-1787, ext 21 
for current available residencies
Special  Initiatives
Local Initiative (Newark, Camden)
Enrichment Program
   
School Year
Preferred time frame (please be specific as to which month or months)
Grade Level 
How many classes will be participating in this residency?
How many students will be participating in each class?  (max 25 per class)  
Is there a particular artist with whom you would like to work? 
Has your school/group ever had a NJWP Residency before?   Yes  No
If yes, what was the most recent school year? School Year  
How is this residency being funded? School     PTA/PTO      Other:  

Grant Requests

We would like to be considered for a Partial Reimbursement Grant. Yes  No
We would like to be considered for a Full Grant.  (applies to Special Initiatives only) Yes  No

If applying for a grant, applicants must submit their responses to the follow questions.

1.  Why did you choose the New Jersey Writers Project and how do you expect your school to benefit from this program?

2.  Do you have a specific goal for this residency?  (i.e., fostering creativity, helping to prepare for standardized testing, etc.)

3.  Please list the arts education programs currently available to students who will participate in this residency.

4.  How can you assist the teaching artist in accomplishing the goals of the residency?

5.  Please tell us anything else you think we should know about your students, school or past residency experiences.

 

Additional Comments or Requests

 

If you would like to print a copy of this application, please print from your browser before clicking the "Submit" button below.